Hydroa vacciniforme and hydroa vacciniforme-like lymphoproliferative disorder: a case report and literature review

Authors

DOI:

https://doi.org/10.29176/2590843X.1840

Keywords:

hydroa vacciniforme, Lymphoma, EBV, hydroa vacciniforme-like lymphoma, hydroa vacciniforme-like lymphoproliferative disorder

Abstract

Introduction: Hydroa vacciniforme is an uncommon photodermatosis that causes chronic skin involvement and might be related to the Epstein-Barr virus infection, associating progressive cicatricial deformity and a higher risk of developing cutaneous lymphomas.

Method: This is a descriptive observational type of study. Therefore, it details a rare photodermatosis in a male pediatric patient with a history of Epstein Barr virus exposure, who presented blisters and chronic ulcers in photoexposed areas.  

Results: A 13-year-old boy suffering from deforming chronic ulcers in the face and ears, whose histopathological study revealed a marked lymphocytic infiltrate with angiocentrism, suggesting hydroa vacciniforme. Yet positive markers of cutaneous lymphoma associated with Epstein Barr virus were identified by immunohistochemistry.

Conclusion: This article reports a pediatric hydroa vacciniforme-like lymphoproliferative disorder case without systemic involvement, associated with Epstein-Barr virus exposure. Indeed, it is an unusual case in which histological and immunohistochemical pattern is aggressive and in whom the prognosis is still unknown

Author Biographies

Ana María Gutiérrez-Delgadillo, Universidad El Bosque

Dermatóloga, Universidad El Bosque, Bogotá, Colombia

Johanna Villamil Guevara, El Bosque University

Dermatóloga, Universidad El Bosque, Bogotá, Colombia

Nelson Ricardo Porras Sánchez, El Bosque University

Dermatólogo, Universidad El Bosque, Bogotá, Colombia

Valentina Pastrana-Tovar, El Bosque University

Oftalmóloga, Universidad El Bosque, Bogotá, Colombia

Elvia Zenaida Quevedo-Martínez, El Bosque University

Dermatóloga, Universidad El Bosque, Bogotá, Colombia

Mariam Carolina Rolón-Cadena, Universidad El Bosque

Dermatopatóloga, Universidad El Bosque, Bogotá, Colombia.

Adriana Motta-Beltrán, El Bosque University

Dermatóloga, Hospital Simón Bolívar. Universidad El Bosque, Bogotá, Colombia

References

Quintanilla-Martinez L, Fend F. Deciphering hydroa vacciniforme. Blood, The Journal of the American Society of Hematology. 2019 Jun 27;133(26):2735-7.

Han B, Hur K, Ohn J, Kim TM, Jeon YK, Kim YC, Mun JH. Hydroa vacciniforme-like lymphoproliferative disorder in Korea. Scientific Reports. 2020 Nov 9;10(1):1-0.

Liu Y, Ma C, Wang G, Wang L. Hydroa vacciniforme–like lymphoproliferative disorder: Clinicopathologic study of 41 cases. Journal of the American Academy of Dermatology. 2019 Aug 1;81(2):534-40.

Park HY, Park JH, Lee KT, Lee DY, Lee JH, Lee ES, Yang JM. A case of hydroa vacciniforme. Annals of dermatology. 2010 Aug 1;22(3):312-5.

Yu KK, Franzblau L, Fullen DR, Carty SA, Tejasvi T. Adult-onset hydroa vacciniforme-like lymphoma in a long-term resident of the United states. JAAD Case Reports. 2018;4(4):314-317.

Maldonado G. Hidroa vacciniforme, revisión del tema . Rev Cent Dermatol Pascua 2006 Dec;15(3):198-202

Senear, Fink. HYDROA VACCINIFORME. The Lancet 1923;201(5192):451

Segurado Rodríguez MaA, Guerra Tapia A, Iglesias Díez L. Hydroa vacciniforme: una rara forma de fotosensibilidad infantil. Actas dermo-sifiliográficas 2002;93(7):464-466

Halasz CLG, Leach EE, Walther RR, Poh-Fitzpatrick MB. Hydroa vacciniforme: Induction of lesions with ultraviolet A. Journal of the American Academy of Dermatology 1983;8(2):171-176

Magaña, M., Sangüeza, P., Gil-Beristain, J., Sánchez-Sosa, S., Salgado, A., Ramón, G., & Sangüeza, O. P. Angiocentric cutaneous T-cell lymphoma of childhood (hydroa-like lymphoma): a distinctive type of cutaneous T-cell lymphoma. Journal of the American Academy of Dermatology, 1998;38(4):574–579

Barrionuevo, C., Anderson, V. M., Zevallos-Giampietri, E., Zaharia, M., Misad, O., Bravo, F., Cáceres, H., Taxa, L., Martínez, M. T., Wachtel, A., & Piris, M. A. Hydroa-like cutaneous T-cell lymphoma: a clinicopathologic and molecular genetic study of 16 pediatric cases from Peru. Applied immunohistochemistry & molecular morphology : AIMM, 2002;10(1): 7–14

S.H. Swerdlow, E. Campo, S.A. Pileri, et al. The 2016 revision of the World Health Organization classification of lymphoid neoplasms. Blood, 2016;127(20):2375-2391

Wang X, Liang Y, Yang Y, Li W, Wang G, Wang S, Li Y, Zhang M. Hydroa vacciniforme-like lymphoproliferative disorder: A clinicopathological, immunohistochemical, and prognostic study of 24 cases in China. J Dermatol. 2021 Sep;48(9):1315-1326

Yanghe Liu, Cuiling Ma, Gang Wang, Lei Wang. Hydroa vacciniforme–like lymphoproliferative disorder: Clinicopathologic study of 41 cases.Journal of the American Academy of Dermatology. 2019;81(2)534-540

Heng G, Baozhu C, Henglin Q, Guangzhong L. A clinical study on severe hydroa vacciniforme. Chin Med J (Engl). 1996;109:645-7.

Cruces MJ, de la Torre C. Hydroa vacciniforme: major and minor forms. Photodermatol 1986;3:109-10

Leenutaphong V. Hydroa vacciniforme: an unusual clinical manifestation. J Am Acad Dermatol 1991;25:892-5

Kim WS, Yeo UC, Chun HS, Lee ES. A case of hydroa vacciniforme with unusual ear mutilation. Clin Exp Dermatol 1998;23:70-2

Iwatsuki K, Satoh M, Yamamoto T, et al. Pathogenic link between hydroa vacciniforme and Epstein-Barr virus-associated hematologic disorders. Arch Dermatol 2006;142(5):587–95

Sonnex TS, Hawk JLM. Hydroa vacciniforme: a review of ten cases. Br J Dermatol 1988;118:101-8

Eramo LR, Garden JM, Esterly NB. Hydroa vacciniforme: diagnosis by repetitive ultraviolet-A phototesting. Arch Dermatol 1986;122:1310-3

Lin H, Chao S, Chang K, Lee JY. Hydroa vacciniforme-like lymphoma: A case report and literature review. Dermatologica Sinica. 2010;28(4):167-172

Beatriz Di Martino Ortiz, Guadalupe Barboza, Tatiana Moreno, Celeste Valiente, Ana Buongermini y Hugo Boggino. Linfoma cutáneo tipo hidroa vacciniforme. Desorden linfoproliferativo asociado a infección por el virus de Epstein Barr en la infancia. Elsevier. Piel (barc). 2015;30(7):420–423

Zigang Xu, M.D.,* and Shi Lian, M.D. Epstein–Barr Virus-Associated Hydroa Vacciniforme-like Cutaneous Lymphoma in Seven Chinese Children. Pediatric Dermatology. 2010;27(5):463–469

Gupta G, Man I, Kemmett D. Hydroa vacciniforme: A clinical and follow-up study of 17 cases. J Am Acad Dermatol. 2000;42(2, Part 1):208-213

A Mateu, M Rubio, F Díaz, J Ferrando, J García, B Martínez . Intermittent Vesiculous Eruption in a Child . Actas Dermosifiliogr. 2007;98:127

Gulley ML. Molecular diagnosis of Epstein-Barr virus-related diseases. J Mol Diagn. 2001;3(1):1-10.

Li J, Zan Y, Liu H, Liu H, Chen L. Hydroa vacciniforme-like cutaneous T-cell lymphoma in a child: A case report. Medicine (Baltimore). 2018;97(15):e0319

Zhang X, Wang T, Wang L. Hydroa Vacciniforme-Like Lymphoma in Tibetan Children: 2 Cases and a Literature Review. Am J Dermatopathol. 2018;40(5):358-361

Taketani T, Kikuchi A, Inatomi J, et al. Chronic active Epstein-Barr virus infection (CAEBV) successfully treated with allogeneic peripheral blood stem cell transplantation. Bone Marrow Transplant. 2002;29(6):531-533

How to Cite

1.
Gutiérrez-Delgadillo AM, Villamil Guevara J, Porras Sánchez NR, Pastrana-Tovar V, Quevedo-Martínez EZ, Rolón-Cadena MC, et al. Hydroa vacciniforme and hydroa vacciniforme-like lymphoproliferative disorder: a case report and literature review. rev. asoc. colomb. dermatol. cir. dematol. [Internet]. 2024 Jul. 30 [cited 2026 Mar. 16];32(3):279-86. Available from: https://revistaasocoldermaorgco.biteca.online/index.php/asocolderma/article/view/1840

Downloads

Download data is not yet available.

Published

2024-07-30

How to Cite

1.
Gutiérrez-Delgadillo AM, Villamil Guevara J, Porras Sánchez NR, Pastrana-Tovar V, Quevedo-Martínez EZ, Rolón-Cadena MC, et al. Hydroa vacciniforme and hydroa vacciniforme-like lymphoproliferative disorder: a case report and literature review. rev. asoc. colomb. dermatol. cir. dematol. [Internet]. 2024 Jul. 30 [cited 2026 Mar. 16];32(3):279-86. Available from: https://revistaasocoldermaorgco.biteca.online/index.php/asocolderma/article/view/1840
Article metrics
Abstract views
Galley vies
PDF Views
HTML views
Other views
Crossref Cited-by logo